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PMT17-04424 City of Menifee Permit No.: PMT17-04424 29714 HAUN RD. Type: Residential Alteration -5ACCE]l MENIFEE, CA 92586 MENIFEE Date Issued: 92/18/2017 PERMIT Site Address: 29093 FOGHORN CT, MENIFEE,CA Parcel Number: 333-341-030 92585 Construction Cost: $1,100.00 Existing Use: 1 &2 Family Residence Proposed Use: Description of REMOVE AND RECONFIGURE LOAD BEARING WALL SUPPORTING GIRDER TRUSS Work: Owner Contractor DAVID&SONJA SESSLER BEYOND GENERAL CONTRACTING 29093 FOGHORN COURT 41309 PINE TREE CIRCLE MENIFEE, CA 92585 TEMECULA, CA 92591 Applicant Phone:9514284334 TEARA KILMER License Number: 1019507 BEYOND GENERAL CONTRACTING 41309 PINE TREE CIRCLE TEMECULA, CA 92591 Fee Description Otty Amount fSl Building Permit Issuance 1 27.00 Inspections not specified 258 258.14 Additional Plan Review Building 74 74.18 GREEN FEE 1 1.00 SMIP RESIDENTIAL 1 1.00 General Plan Maintenance Fee-Building 1 12.91 $374.23 The issuance of this permit shall not prevent the building official from thereafter requiring the correction of errors in the plans and specifications or from preventing building operations being carried on thereunder when in violation of the Building Code or of any other ordinance of City of Menifee.Except as otherwise stated,a permit for construction under which no work is commenced within six months after issuance,or where the work commenced is suspended or abandoned for six months,shall expire,and fees paid shall be forfeited. AA_Bldg_Permit Template.rpt Page 1 of 1 CITY OF MENIFEE :LICENSED DECLARATION property who builds or improves thereon,and who contracts for the projects I hereby affirm under penalty of perjury that I am under provisions of with a licensed contractors)pursuant to the Contractors State License Law). Chapter9(commencing with section 70D0)of Division 3 of the Business and o I am exempt from licensure under the Contractors State License Law for Professions Co and my license is in full force and effect. the following reason: I1License Class en 3 License No. 101"i 5C0 By my signature below I acknowledge that,except for my personal residence Expires d 0 I Sr Signature in which 1 must have resided for at least one year prior to completion of improvements covered by this permit.I cannot legally sell a stmcture that I WORKER'S COMPENSATION DECLARATION have built as an owner-builder if it has not been constructed in its entirety by hereby affirm under penalty of perjury one of the following declarations:I licensed contractors.I understand that a copy of the applicable law,Section have and will maintain a certificate of consent of self-insure for worker's 7044 of the Business and Professions Code,is available upon request when compensation,issued by the Director of Industrial Relations as provided for this application is submitted or at the following website: by Section 3700 of the Labor Code,for the performance of work for which yv,,,,v.leeinfo.ca.eov/calaw.html. this permit is issued. ate_ Policy# Date PROPERTY OWNER OR AUTHORIZED AGENT e7 have and will maintain worker's compensation insurance,as required by section 3700 of the Labor Code,for the performance of the work for which D By my signature below 1 certify to each of the following:I am the property this permit is issued.My worker's compensation insurance carrier and policy owner or authorized to act on the property owners behalf.I have read this number are: �t application and the Information I have provided is correct I agree to comply Carrier JC I I" with all applicable city and county ordinances and state laws relating to I p building construction.I authorize representatives of this city or county to PoIfry#�O Expires �D�a2 g1 �d /O enter the above identified property for inspection purposes. (This section need not to be completed Is the permit is for one-hundred Date dollars($100)or less PROPERTY OWNER OR AUTHORIZED AGENT r�rdfy that in the performance of the work for which this permit is issued, I shall not employ any persons in any manner so as to become subject to the (HI TY BUSINESS LICENSE# workers compensation laws of California,and agree that if I should become ZARDOUS MATERIAL DECLARATION sub ect to the wor rs compensation provisions of Section 3700 of the Labor pd ,lshal prthwit ly with those provisions. / ill the applicant or future building occupant handle hazardous material or plica ( Date �� / xture containing a hazardous material equal to orgreater that the unts spe�cified on the Hazardous Materials Information Guide.IN :FAILURE TO SECURE WORKERS COMPENSATION COVERAGE ISes r�No UNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ill the intended use of the building by the applicant or future building AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS($100,000),IN cupant require a permit for the construction or modification from South ADDITION TO THECOST OF COMPENSATION,DAMAGES AS PROVIDED FOR ast Air4 ity Management District(SCAQMD)7 See permitting checklist IN SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES 'guidef as CONSTRUCTION LENDING AGENCY Yes NoI hereby affirm that under the penalty of perjury there is a construction ill the proposed building or modified facility be within 1000 feet of the lending agency for the performance of the work which this permit is issued terboun ryofaschool7 (Section 3097 Civil Code) Yes o OWNER BUILDER DECLARATIONS I have read the Hazardous Material Information Guide and the SCAQMD permitting checklist I understand my requirements under the State of I hereby affirm under penalty of perjurythat I am exempt from the C California Health&Safety Code,Section 25505 and 25534 concerning Contractor's License Law for the reason(s)indicated below by the minus a ial repo checkmark(s)I have placed next to the applicable item(s)(Section 7031.5 J Q Business and Professions Code).Any city or county that requires a permit to e D Date construct,alter,improve,demolish or repair any structure,prior to its RO OWNER OR AUTHORIZED AGENT issuance,also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors State EP RENOVATION REPAIR AND PAINTING RRP License Law(Chapter 9(commencing with Section 7000)of Division 3 of the The EPA Renovation,Repair and Painting(RRP)Rule requires contractors Business and Professions Code)or that he or she Is exempt from licensure receiving compensation for most work that disturbs paint in a pre-1978 and the basis for the alleged exemption.Any violation of Section 7031.5 by residence or childcare facility to be RRP-certified firms and comply with an Applicant fora permit subjects the applicant to a civil penalty of not more required practices.This includes rental property owners and property than($500). managers who do the paint-disturbing work themselves or through their D I,as owner of the property,or my employee with wages as their sole employees.For more information about EPA's Renovation Program visit: compensation,will do( )all of or( )portion of the work,.and the structure is www.eoa.eov/lead or contact the National Lead Information Center at not intended or offered for sale.(Section 7044,Business and Professions 1-800-424-LEAD(5323). Code;The Contractors State License Law does not apply to an owner of a in An EPA Lead-Safe Certified Renovator will be responsible for this project property who,through employees'or personal effort,builds or improves the property provided that the improvements are not intended or offered for Certified Firm Name: sale.If,however,the building or Improvement is sold within one year of Firm Certification No.: completion,the Owner-Builder will have the burden of proving that it was not built or improved for the purpose of sale. o EPA Lead-Safe Certified Firm Is required for this project because: ❑I,as owner of the property am exclusively contracting with licensed contractors to construct the project(Section 7044,Business and Professions Code:The Contractors State Umnse Law does not apply to an owner of a If your project does not comply with EPA RAP rule please fill out the RRP Acknowledgement. PERMIT/PLANBUILDING & SAFETY APPLICATION Menifee DATE: PERMIT/PLAN CHECK NUMBER PM TYPE: O COMMERCIAL e'RESIDENTIAL O MULTI-FAMILY 0 MOBILE HOME O POOL/SPA O SIGN SUBTYPE: O ADDITION O ALTERATION O DEMOLITION O ELECTRICAL O MECHANICAL O NEW O PLUMBING O RE-ROOF NUMBER OF SQUARES X `DESCRIPTION OF WORK GV u-rc l s l Ql' 0. ( oad �De r-,(l9' k JQa PROJECTADDRESS 10'5��3 -Fc_)4A oYn l.�'1 ZIP ASSESSOR'S PARCEL NUMBER 333-3LJI - Q2 LOT TRACT pD OWNER NAME �/R+.� �' ci�ilding t)ept. �-p� ADDRESS ��1I c 1 3 �ur r'1 C, DEC 9017 PHONE q V'"1 " I -y'0�C7 EMAIL /Q APPLICANT NAME Re 'V�/ ADDRESS PHONE EMAIL / CONTRACTOR'S NAME �0.ra ��\ -e�� OWNER BUILDER? OYES V O BUSINESS NAME 0.I �UVI/ GLCi ADDRESS V_ 4 PHONE �S�-�'tc�0 3�� ` EMAIL Y aCA PCUyli eCi b C• COV- C/ -� CONTRACTOR'S STATE LIC NUMBER �� L.1V_' LICENSE CLASSIFICATION VALUATION$ } o o SQ L SO FT""�� 1, 1 APPLICANT'S SIGNATURE Gj2��DATE ( O` ' 1-` \� Ly-STAFE USE.Qp-ILt;_. DEPARTMENT DISTRIBUTION CITY OF MENIFEE BUSINESS LICENSE NUMBER BUILDING PLANNING ENGINEERING FIRE ACCEPTED BY: PERMIT FEE aq - SMIP 1 - GREEN PLAN CHECK FEE 1 4 INVOICETOTAL OWNER BUILDER VERIFIED 0 YES 0 NO DRIVERS LICENSE#i NOTARIZED LETTER 0 YES 0 NO City of Menifee Building&Safety Department 29714 Houn Rd. Menifee, CA 92586 951-672-6777 www.cityofMeoifee.us